Download Together against Cancer

PMDS
PACT Model
Demonstration Sites
Together against Cancer
The Need to Develop
Cancer Control Capacity
Cancer accounted for an estimated 7.6 million deaths worldwide in 2008 and the
number of new cancer cases continues to rise. The International Agency for Research
on Cancer (IARC) estimates that by 2030, each year over 21 million people will
be diagnosed with cancer and 13 million will die from the disease (GLOBOCAN
2008). The majority of these new cases are expected to occur in people living in low
and middle income (LMI) countries, where over 70% of cancer cases are diagnosed
too late for cure. The growing burden of cancer is a major cause for concern as cancer
care services are often unable to meet the increasing demand.
Developing global awareness of the growing cancer crisis and encouraging LMI
countries to take a comprehensive approach to cancer control is critical for improving
cancer survival rates. The World Health Organization (WHO) encourages countries to
develop a comprehensive National Cancer Control Programme (NCCP). Developing
and implementing an NCCP can enhance a country’s potential to stage interventions
across the cancer control continuum and maximize the impact of cancer control
actions.
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Albania is implementing a project funded through IAEA/PACT on breast cancer awareness and training
of health professionals, and worked with the IAEA, WHO and IARC to define their national strategy and
action plan for breast and cervical cancer control.
T
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With support from the IAEA, through PACT, and in collaboration with the WHO Regional Office for
Africa, Tanzania is increasing its capacity for cancer control services.
PACT Model Demonstration Sites
PMDS objectives
To place cancer on the global health agenda and support LMI countries in attracting
new resources for cancer control, IAEA/PACT and WHO developed “PACT Model
Demonstration Sites (PMDS)”. PMDS are based in IAEA and WHO Member States
and are comprised of multidisciplinary cancer capacity building projects whose aim
is to demonstrate the advantages of systemic, cross-sector collaboration. They are
also designed to illustrate the synergies that can be created by bringing together
national and international stakeholders and joining efforts for the development of
comprehensive cancer control capacity. The impact on the cancer burden can be
maximized through partnerships and combined technical expertise aligned with each
organization’s mandate.
Through the PMDS initiative, IAEA/PACT and its partners have worked to support
the development of cancer control infrastructure, build human resource capacity and
mobilize resources for evidence-based cancer control interventions. PACT endeavours
to support the effective implementation of a country’s radiation medicine programme
as an integral component of its comprehensive NCCP.
National Cancer Control Programmes
The WHO defines an NCCP as “a public health programme designed to reduce cancer incidence
and mortality and improve quality of life of cancer patients, through the systematic and
equitable implementation of evidence-based strategies for prevention, early detection,
diagnosis, treatment, and palliation, making the best use of available resources.”
Bringing PMDS Together
In November 2012, PACT convened, for the first time, a technical workshop with cancer
control representatives from all eight PMDS, which included the participation of WHO,
IARC and the Union for International Cancer Control (UICC) as well as external experts.
This gathering provided a unique opportunity for all participants to assess advances
made in each country and permitted PMDS to share experiences and lessons learned
in developing comprehensive approaches to address cancer control.
Partnerships
PACT partners, including WHO, IARC and UICC have played an important role in
supporting the PMDS project.
In addition to international organizations and agencies, the IAEA works with national
cancer institutions, and non-governmental organizations.
Promoting a collaborative effort to address cancer control in PMDS countries will
enable them to address the cancer crisis more effectively. Cooperation with a wide
range of partners with various areas of expertise will ensure the best outcomes in
planning and implementing cancer control initiatives.
To support Vietnam’s efforts to expand radiotherapy treatment capacity, the Government of India donated
a Cobalt-60 radiotherapy unit (Bhabhatron-II) through PACT to the Can Tho Oncology Hospital.
Gh
su
Ghana has received long term loans from OFID and the Arab Bank for Economic Development in Africa, with
support from PACT, for upgrading and strengthening radiotherapy and nuclear medicine services in the country.
Resource mobilisation
The PMDS are supported by PACT in their resource-mobilization efforts for the
development of sustainable cancer control activities based on national priorities.
As part of the assistance provided to a PMDS in its efforts to plan and implement
an effective national cancer control programme, the IAEA and its partners identify
potential donors for project funding, assist in the mobilization of resources and
provide technical expertise based upon their respective mandates.
PMDS around the world
Since the project’s inception, eight PMDS have been established in the six WHO
geographical regions. Initially launched in 2006, PMDS are located in Albania,
Ghana, Mongolia, Nicaragua, Sri Lanka, Tanzania, Vietnam and Yemen. It is forseen
that each PMDS would be for a pre-determined, time-bound duration.
MONGOLIA
ALBANIA
YEMEN
NICARAGUA
VIETNAM
IAEA-TC Regions:
Africa
GHANA
SRI LANKA
Asia and the Pacific
Europe
Latin America
UR TANZANIA
Children receiving cancer treatment in Nicaragua are referred to the country’s only institution
providing radiation therapy services, the National Radiotherapy Centre in Managua. This hospital
now has a dedicated waiting area for children to play and feel comfortable while waiting to receive
treatment, thanks to funding received through PACT.
Snapshots of success
Since 2006, over US $18 million has been mobilized through PACT for the eight PMDS
countries. This funding has been used for human resource development, provision
of radiation medicine equipment, expert missions and additional cancer control
capacity building activities. PACT and its partners have facilitated training for over
115 professionals from PMDS countries.
Below are some examples of the PACT projects in each of the PMDS.
Albania
In 2009, a Cobalt-60 radiotherapy unit (Equinox) was purchased and cost-shared by Albania,
IAEA and MDS Nordion/Best Theratronics for the University Hospital “Mother Teresa” in
Tirana, providing improved access to radiotherapy for Albania’s population. A Joint WHO/
IAEA/IARC workshop on cervical and breast cancer, in collaboration with the Ministry of
Health, was held in June 2010 in Tirana to discuss a national strategy and action plan for
breast and cervical cancer control. The OPEC Fund for International Development (OFID)
provided funds for a PACT project that has raised awareness of breast cancer in Albania and
trained several health care professionals working in breast cancer.
Ghana
Ghana established the National Cancer Control Steering Committee and, supported by
IAEA/PACT and WHO Regional Office, developed a bankable project to increase radiation
medicine infrastructure within the NCCP that subsequently secured two long-term
development loans from OFID and the Arab Bank for Development in Africa. The loan is
being used for upgrading and strengthening radiotherapy and nuclear medicine at the Korle
Bu Teaching Hospital in Accra and Komfo Anokye Teaching Hospital in Kumasi, as well as for
activities on early detection and palliative care.
Mongolia
Mongolia received funding from the Principality of Monaco as well as from the
Government of Japan and the Republic of Korea for a PACT project to improve
the quality of radiotherapy and palliative care in the country. Additionally, the
United Nations Women’s Guild in Vienna has provided funds for a playground
for paediatric cancer patients built at the National Cancer Center in Ulaanbaatar.
Nicaragua
MDS Nordion/Best Theratronics donated, through PACT, a Cobalt-60 radiotherapy
unit (Equinox) to the National Radiotherapy Centre in Managua to increase
its capacity. Nowadays, it constitutes the second working radiotherapy unit
in the country. The Government of Spain funded a project in Managua, which
will contribute to improve breast and cervical cancer diagnosis in the areas of
pathology and mammography. Thanks to funds donated by the United Nations
Women’s Guild in Vienna, a dedicated waiting area has been established for
children receiving treatment at the National Radiotherapy Centre in Managua.
Sri Lanka
The Government of Korea has provided funds for a PACT project, mainly on
training, to improve the quality of radiotherapy in the country. Funds have also
been provided by United Women’s Guild in Vienna for the “Provision of a Blood
Gas Analyser for the Intensive Care Unit of the Paediatric Unit at the National
Cancer Institute Maharagama”.
Tanzania
An OFID-funded project is working to increase palliative care services for cancer
patients in Tanzania. To improve cancer therapy capacity, MDS Nordion/Best
Theratronics donated, through PACT, a Cobalt-60 radiotherapy unit (Equinox) to
the Ocean Road Cancer Institute (ORCI) in Dar es Salaam. Since its installation in
2008, ORCI has been able to treat 2000 additional patients.
Vietnam
To support Vietnam’s efforts to expand radiotherapy treatment capacity, the
Government of India donated a Cobalt-60 radiotherapy unit (Bhabhatron-II)
through PACT to the Can Tho Oncology Hospital. Prior to this donation, the Can Tho
region of over three million people had no radiation therapy service. Additionally,
OFID has provided funds for a PACT project that aims to increase capacity in the
early detection of breast and cervical cancer.
Yemen
A National Cancer Control Planning Workshop was held in 2013 under the auspices
of the IAEA and the WHO Eastern Mediterranean Regional Office in Egypt to define
priorities in planning and implementing cancer control activities in the country. A
financial contribution by the Korea Nuclear International Cooperation Foundation
(KONICOF) was received through PACT for training in the Republic of Korea for
Yemeni health professionals.
“The best weapon to deal with the world cancer crisis is to have a national cancer plan
developed in each country. “
Franco Cavalli, Oncology Institute of Southern Switzerland and past President of the Union
for International Cancer Control.
PACT Programme Office
International Atomic Energy Agency
Vienna International Centre, PO Box 100
1400 Vienna, Austria
[email protected]
cancer.iaea.org
2013